ATI Capstone Fundamentals Post-Study
Quiz
A nurse enters a client's room and finds the client on the floor experiencing a seizure.
Which of the following actions should the nurse take? - ANSPosition the client on their
side.
The nurse should position the client on their side. This assists the client's airway to
remain open and can prevent aspiration if the client has emesis or secretions in their
mouth.
A nurse is assessing a client who has enlarged lymph nodes. In which of the following
locations should the nurse palpate to locate the postauricular nodes? - ANSOver the
mastoid
The nurse should palpate over the mastoid or behind the ear to assess the postauricular
nodes. The detection of an enlarged or tender lymph node can indicate the presence of
an infection or a malignancy and should be reported to the provider.
A nurse is assessing a client who has multiple sclerosis. Which of the following
assessments is the nurse's priority? - ANSAbility to swallow
The greatest risk to the client is aspiration due to dysphagia. Therefore, the nurse's
priority assessment is the client's ability to swallow.
A nurse is assisting a client to ambulate to the bathroom when the client begins to fall.
Which of the following actions should the nurse take? - ANSPlace one foot in front of
the other while spreading the feet apart.
The nurse should place one foot in front of the other while spreading the feet farther
apart to widen their own base of support. Then the nurse should lower the client to the
floor as smoothly as possible. This will assist with supporting the client's weight and
help to prevent injury to the nurse.
A nurse is caring for a client who has a new tracheostomy. The nurse should ensure
that which of the following pieces of equipment is present in the client's room? - ANSAn
obturator
The nurse should ensure that a client who has a tracheostomy has an obturator at their
bedside. If the tracheostomy is dislodged, an obturator is used to reinsert the outer
cannula of the tracheostomy. The nurse should also ensure that a spare tracheostomy
of the client's size, as well as a tracheostomy of one size smaller, supplemental
humidified air or oxygen, and suction equipment are at the client's bedside to ensure
safe client care.
Quiz
A nurse enters a client's room and finds the client on the floor experiencing a seizure.
Which of the following actions should the nurse take? - ANSPosition the client on their
side.
The nurse should position the client on their side. This assists the client's airway to
remain open and can prevent aspiration if the client has emesis or secretions in their
mouth.
A nurse is assessing a client who has enlarged lymph nodes. In which of the following
locations should the nurse palpate to locate the postauricular nodes? - ANSOver the
mastoid
The nurse should palpate over the mastoid or behind the ear to assess the postauricular
nodes. The detection of an enlarged or tender lymph node can indicate the presence of
an infection or a malignancy and should be reported to the provider.
A nurse is assessing a client who has multiple sclerosis. Which of the following
assessments is the nurse's priority? - ANSAbility to swallow
The greatest risk to the client is aspiration due to dysphagia. Therefore, the nurse's
priority assessment is the client's ability to swallow.
A nurse is assisting a client to ambulate to the bathroom when the client begins to fall.
Which of the following actions should the nurse take? - ANSPlace one foot in front of
the other while spreading the feet apart.
The nurse should place one foot in front of the other while spreading the feet farther
apart to widen their own base of support. Then the nurse should lower the client to the
floor as smoothly as possible. This will assist with supporting the client's weight and
help to prevent injury to the nurse.
A nurse is caring for a client who has a new tracheostomy. The nurse should ensure
that which of the following pieces of equipment is present in the client's room? - ANSAn
obturator
The nurse should ensure that a client who has a tracheostomy has an obturator at their
bedside. If the tracheostomy is dislodged, an obturator is used to reinsert the outer
cannula of the tracheostomy. The nurse should also ensure that a spare tracheostomy
of the client's size, as well as a tracheostomy of one size smaller, supplemental
humidified air or oxygen, and suction equipment are at the client's bedside to ensure
safe client care.
